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1205286119
COLE JEREMIAH DARNEL
JEFFERSON CITY, MO
NPI
1205286119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2013028588)
Enumeration Date
2016-06-21
Last Update Date
2016-06-21
Business Address
-- COLE JEREMIAH DARNEL DPT
2312 LIBERTY LN
JEFFERSON CITY, MO 65109-6016
Phone number: 573-694-8958
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Mailing Address
-- COLE JEREMIAH DARNEL DPT
2312 LIBERTY LN
JEFFERSON CITY, MO 65109-6016
Phone number: 573-694-8958
Copy
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